GRANTS PASS TREATMENT CENTER NPI 1295280451

NPI Information

  • NPI: 1295280451
  • Provider Name: GRANTS PASS TREATMENT CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: ORTC LLC
  • CLIA Number: 38D2155783
  • Address: 155 NE REVERE AVE
    STE 150
    BEND, OR
    ZIP 97701
  • Phone: (936) 524-2837

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NPI Details

GRANTS PASS TREATMENT CENTER is a substance abuse rehabilitation facility in Bend, OR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GRANTS PASS TREATMENT CENTER NPI is 1295280451. The provider is registered as an organization entity type.
The provider Is Doing Business As Ortc Llc.

The provider's business location address is:

155 NE REVERE AVE
STE 150
BEND, OR
ZIP 97701-147
Phone: (936) 524-2837

The provider's authorized official is Matt Owen .
The authorized official title is Owner and has the following contact phone number (541) 617-4544.

The CLIA number assigned to this NPI record is 38D2155783 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2016 and was last updated on 9/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

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This page was last updated on: 11/21/2025

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